Conclusions and Relevance:
We demonstrate a significant symptom burden associated with active
cigarette smoking, with significantly worse SNOT-22 scores in the
smoking cohort by a mean magnitude of 10 points. We could find no strong
demonstrable evidence that smoking increases the likelihood of need for
revision sinus surgery.
Clinicians should encourage smoking cessation alongside general CRS
medical management.
Key words : rhinosinusitis; smoking; quality of life